** This training program is being updated and reaccredited. Please visit, eHealthHIV.org, to register for a new eLearning account and to access other available eLearning courses. **
The HealthHIV HIV Primary Care Training and Certificate ProgramTM provides medical education and professional development for clinicians to develop new skills and professional competencies to optimize the quality of care to people with HIV. By participating in this web-based certificate program, providers can apply “lessons learned” to their practice. Five eLearning modules, each offering continuing medical education/continuing education credits. A total of 6 free CME credits are available. All participants completing the program receive a certificate of completion, documenting their training in HIV primary care.
|ACTIVITY TITLE||LEARNING OBJECTIVES||FACULTY||CREDIT||EXPIRATION|
|Activity 1: HIV Management in Primary Care – Foundations Course||Describe HIV surveillance data and the implications for individual and public health Discuss the natural history of HIV disease and the implications for individual and public health Explain the differences between risk-based and “opt-out” HIV screening and summarize the current recommendations Utilize the most appropriate HIV test in different clinical settings Summarize methods to reduce HIV transmission||Donna E. Sweet, MD, MACP||1 AMA PRA Category 1 Credit™||11/30/2021|
|Activity 2: Core Skills for HIV Management in the Primary Care Setting||Identify appropriate patients and methods to screen for HIV Describe methods to assess patients’ willingness and readiness to begin antiretroviral therapy Review considerations in selecting initial antiretroviral therapy Discuss methods to assess and promote adherence to antiretroviral therapy||Donna E. Sweet, MD, MACP||1 AMA PRA Category 1 Credit™||11/30/2021|
|Activity 3: Considerations in the Management of HIV in Older Adults||Identify common comorbidities in older adults with HIV Describe the potential impact of long-term antiretroviral therapy on cardiometabolic risk and other comorbidities Design a strategy to manage both antiretroviral therapy and cardiometabolic risk factors in patients with HIV Implement evidence-based methods to encourage smoking cessation in patients with HIV||Jonathan S. Appelbaum, MD, FACP, AAHIVS||1 AMA PRA Category 1 Credit™||11/30/2021|
|Activity 4: Improving Communication in the Clinical Setting||Assess patients’ health literacy and health beliefs Employ evidence-based techniques to foster open patient-provider communication Describe methods for coordination of care between primary care and specialist settings Identify barriers to patient adherence in HIV-infected individuals and methods to overcome these barriers||Jonathan S. Appelbaum, MD, FACP, AAHIVS||1 AMA PRA Category 1 Credit™||11/30/2021|
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and HealthHIV. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
For questions about the accreditation of this activity, please visit www.pimed.com.
In June 2019, the United States Preventive Services Task Force released a Grade A recommendation for universal screening of adolescents and adults aged 15 to 65 years for HIV infection.
The CDC estimates that 1.1 million people in the United States are living with human immunodeficiency virus (HIV), and approximately 1 in 7 (nearly 15%) are unaware of their status. It is also widely estimated that about 40% of new HIV infections are transmitted by people undiagnosed and unaware they have HIV. Late HIV diagnosis remains one of the major challenges in combating the epidemic as
o 1 in 2 people with HIV have the infection 3 or more years before being diagnosed;
o 1 in 4 live with HIV 7 years or more before diagnosis; and,
o 1 in 5 newly diagnosed with HIV already have AIDS.
Diagnosing HIV quickly and linking people to treatment immediately are crucial to reducing new HIV infections and ending the HIV epidemic.
In addition to being on the front line for both HIV diagnosis and prevention, the effectiveness of standardized regimens for many patients, growing number of HIV patients, and decreasing numbers of HIV specialists are other significant factors leading to an expanded role for PCPs in managing HIV.
HealthHIV developed the STEP (Staged Training to Educate Providers) ModelTM for HIV integration in primary care in response to limited existing models of HIV testing and care. The STEP Model guided the development of this program.
The model provides a staged framework for integration of HIV care into primary care. At its core, this dynamic model classifies community health centers and other primary care delivery sites, based upon where they fall in the spectrum of HIV care delivery.
The Stages of HIV Care were informed by the Health Services and Resource Administration’s HIV/AIDS Bureau Guidelines for HIV Clinical Care as well as various State HIV care plans and the WHO clinical staging for HIV/AIDS for Adults and Adolescents.
The Models of HIV Care were informed by using the National Association of Community Health Center’s “Integrating HIV Screening into Routine Primary and Dental Care: A Health Center Model” and the Centers for Disease Control and Prevention’s Program Collaboration and Service Integration Framework.